| NPI | 1477863884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0073497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08888000) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2014-03-27 |